The patient was taken to a local medical facility for first aid and then transferred to the 108 Military Central Hospital. When entering the Internal Resuscitation and Anti-toxic Department, the patient was in a state of cardiogenic shock, rapid pulse, complex arrhythmia. complicated, sometimes ventricular fibrillation; Blood pressure dropped deeply, echocardiography showed decreased movement of the whole heart wall.
The patient was diagnosed with severe anaphylaxis due to bee stings, acute myocarditis complicated by cardiogenic shock. Doctors use ECMO (extracorporeal membrane oxygenation) to save lives.
“This case is only a little slow, it’s a cardiac arrest if ECMO is not supported in time,” said Dr. Pham Dang Hai, deputy head of the Department of Internal Medicine and Poison Control.
After receiving active treatment, the patient’s condition gradually improved, was weaned from ECMO after 5 days and extubated after 7 days. On September 16, after a week of treatment, the patient’s condition improved and is gradually stabilizing.
Anaphylactic reactions occur quite diversely, can be caused by drugs or chemotherapy, food allergies, cosmetics and insect stings. The disease progresses rapidly, is complicated, unpredictable and is easy to die if not treated promptly.
The doctor recommends some steps to deal with a bee sting as follows: Quickly get out of the bee area. Remove the main proboscis by gently tugging or using tweezers to remove it because most of the time after stings, bees leave the main proboscis and venom sac in the sting on the skin. Avoid squeezing with your hands as this can spread the venom.
Wash the burned area with soap and warm water; Apply an antiseptic solution such as povidine 10% or alcohol 70 degrees to the sting twice a day. Drink plenty of water to flush out toxins. Apply cold to the sting to relieve pain and reduce swelling. After the above treatment, the person who was stung by a bee should be carefully cared for and monitored, and taken to a medical facility for re-examination.
In case of severe anaphylaxis (unconsciousness, slow breathing or respiratory arrest, cardiac arrest) should be given immediate respiratory and circulatory emergency and call for emergency assistance immediately.